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PCAB

PCAB-PAD-NEW-F01Revision 03Eff. Date 6/22/2011

FORM Page 1 of 24

REQUIRED ITEMSThe following pertinent documents and information shall be submitted in support to PCAB license application.(Applicant mayInitial ly fill out the check boxes subject for final validation by PCAB/DTI-ROG pre-screener)

Complied

A. LEGAL Yes No NA1. Affidavit of Attestation and General Information (Page 3 of 24 and Page 4 of 24)

1.1 For Sole Proprietorship: Certified true copy of Business Name Registration Certificate [ ] [ ] [ ]

1.2 For Partnership or Corporation: Certified true copy of SEC Certificate of Registration andArticles of Partnership/Incorporation and By-Laws with construction contracting as one ofthe purposes and subsequent amendments thereto, if any;

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1.3 For Cooperative: Certified copy of CDA Certificate of Registration from CooperativeDevelopment Authority , Articles of Cooperation and By-Laws with construction contractingas one of the purposes and subsequent amendments thereto, if any;

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2. Authorized Managing Officer (AMO) Nomination:2.1 AMO Affidavit ( Page 5 of 24 ) with a passport size picture of AMO ;

• For Corporations only: Original Corp. Secretary's certificate as to the nomination of theAMO ( Page 6 of 24 );

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2.2 Original NBI clearance of Filipino AMO; (valid as of the date of filing) [ ] [ ] [ ]2.3 If AMO is Non-Filipino (in addition to 2.1):

2.3.1 Working Visa2.3.2 Alien Certificate of Registration;2.3.3 NBI clearance if AMO has resided in the Philippines for six (6) months or longer

if not, equivalent clearance from AMO's home country duly authenticated by thePhilippine Embassy.

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For Corporations or Associations with foreign shareholders, the following documents shall be submitted:1. Corporate Secretary’s Certification as follows:

a. List of stockholders showing their nationalities and shareholdings; andb. List of Board of Directors showing their names and nationality.

2. Copy of latest General Information Sheet duly filed with SEC showing the names of stockholders and directors, nationality and shareholdings.• The percentage control of the number of seats occupied by foreigners in the Board of Directors shall not exceed 40%.

B. FINANCIAL 3. Complete Financial Statements with accompanying Auditor’s notes dated within the last six (6)

months immediately preceding the filing of application (duly audited and signed on every page byan Independent CPA with valid PRC-BOA accreditation) and a CD-R (compact disc recordable)containing the firm’s Audited Balance Sheet & Income Statement in the prescribed template to beuploaded by the CIAP-RID in CIAP database. The PCAB Financial Statement Forms A & B can bedownloaded from the DTI website www.dti.gov.ph .

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3.1 For old companies, audited financial statements for the immediately preceding taxable yearand copy of the Quarterly or Annual Income Tax Return certified by the BIR

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3.2 Cash: Original copy of Bank Certification/Bank statement of account certified by Bank Managerof cash deposits as of the Balance Sheet date; Note: (Amount in excess of ½ of 1% of the minimumnetworth required for category applied for or P 50,000.00 whichever is higher, reflected as “Cash” or“Cash on Hand” shall be deducted from the networth, If unsupported.)3.2.1. Authorization to Depository Bank (Page 7 of 24 ) ;

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[ ]3.3 List of Land and Building/Industrial Plants owned by the applicant and registered in its name

(Page 10 of 24) 3.3.1 . Certified Copy of Transfer of Certificate of Title (TCT) including back page3.3.2. Deed of Sale or Certified Copy of Tax Declaration of Land / Bldg., owned by the

applicant.

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3.4 List of Construction and/or Transportation/Delivery Vehicles/Equipment/Machineries/Plantsowned by the applicant and registered in its name (Page 11 of 24 ) 3.4.1 Certified Copy by Land Transportation Office (LTO) of Certificate of Registration and

Current Official Receipt of Registration of Construction and/or Transportation/DeliveryVehicles/Equipment reported;

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3.4.2. Certified Copy of Deed of Sale or sales invoices/official receipts of other constructionequipment/machineries; [ ] [ ] [ ]

3.5 Documents to be submitted if the values of the applicant's Receivables and InventoriesAccounts exceed more than 50% & 20%,respectively, of the contractor’s networth, otherwise,the amount in excess of said account shall be deducted for categorization purposes.3.5.1 Schedule of Receivables duly signed by AMO and Certified by the firm’s PRC BOA

accredited CPA (Page 13 of 24 )

3.5.2 Schedule of Inventories duly signed by AMO and Certified by the firm’s PRC BOAaccredited CPA (Page 13 of 24 )

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PHILIPPINE CONTRACTORS ACCREDITATION BOARD

NEW CONTRACTOR’S LICENSE APPLICATION


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PCAB


FORM Page 2 of 24

4. Authorization to verify documents from BIR & other agencies and/or quarterly income tax returnto cover income reported on interim financial statements.(Page 8 of 24 and Page 9 of 24)

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C. TECHNICAL5. List of Sustaining Technical Employee/s - STE (Page 12 of 24) supported by the following

documents for each STE:5.1. STE Affidavit/s ( Page 14 of 24) with recent passport size picture/s.5.2 Certified Copy by the Professional Regulation Commission of its valid PRC ID

or Certification of Good Standing from PRC in the absence valid PRC ID;5.3 Original NBI Clearance/s of nominated STE/s;5.4 . STE Affidavit/s of Construction Experience (Page 16 of 24)5.5. Personal Appearance Form duly accomplished and signed by the STE/s appearing before the

designated officer of the PCAB or the nearest DTI regional/provincial office (Page 17 of 24)5.6. Affidavit of No Construction Activity (Page 18 of 24)

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D. OTHERS D.1. Original Signature of AMO on each and every page of the application forms including supporting

documents. [ ] [ ] [ ]D.2 The Board may require the AMO interview and submission of pertinent documents/information

other than the above in order to fully determine the qualifications of the applicants; [ ] [ ] [ ]

D.3. AMO/Applicants for TRADE category may no longer be required to take the AMOexaminations. Photocopies of documents, in lieu, of certified copies are accepted providedoriginal copies are presented for authentication.

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D.4 Self-stamped envelopes (One self stamped mailing envelope is required for eachsupporting document submitted), or a prepaid courier pouch.

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D.5 . Applicants interested to participate in government projects should accomplish PCAB-PAD-ARC-F01 (Application for Registration and Classification of Contractor for GovernmentInfrastructure Projects) and file the same together with the PCAB Application Form.

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D.6. Accomplished Affidavit for Firm’s Authorized Representatives [ ] [ ] [ ]

FOR PCAB/ DTI-ROG USE ONLY

No. of Pre-screening Prescreening Results Filed Pre-screener / Date

1st [ ] Comply lacking items as listed in the Remarks [ ] Accepted [ ] PCAB Makati [ ] DTI-ROG

2nd [ ] Comply lacking items as listed in the Remarks [ ] Accepted [ ] PCAB Makati [ ] DTI-ROG

3rd [ ] Comply lacking items as listed in the Remarks [ ] Accepted [ ] PCAB Makati [ ] DTI-ROG

REMARKS:LETTER / ITEM NO. COMMENTS:


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PCAB


FORM Page 3 of 24

In behalf of _________________________________________________________________,(Name of Firm)

I hereby request that its application for Contractor's License be approved.

I certify to the completeness of the information/documents contained in this applicationappertaining to the category/classification the company is applying for and that theinformation/documents are true and correct.

I further certify that the business name and/or SEC registration of this firm is valid andexisting.

I certify furthermore that the SSS, Pag-IBIG, and PhilHealth contributions in favor of theemployees of this firm were remitted to concerned agencies.

I am fully aware that:

1. All documents submitted in support to this application are subject toverification before PCAB action;

2. Any discovered misrepresentation of information and/or manifestationsof fraud on the application documents submitted by my firm applicant orits Authorized Representative/Agent/Liaison Officer shall be subjected toinvestigation which may result to the disapproval of my application,denial/suspension/revocation of license and blacklisting of my firm andmyself as its Authorized Managing Officer; and

3. Unconfirmed information/documents submitted to support my firm'squalifications shall be excluded for categorization/classificationpurposes.

4. The evaluation of my qualification shall be solely based on the documentssubmitted at the time the application was filed/accepted by PCAB.

_______________________________Authorized Managing Officer

(Signature over Printed Name)Republic of the Philippines )Province of ______________)City/Municipality of ___________) S.S

SUBSCRIBED AND SWORN TO before me this ________ day of ___________________ 20____ at ______________________; affiant exhibited to me his Community Tax Certificate No. _______________ issued at __________________ on _________________ 20 ___.

Doc. No.Page No.Book No.Series of 20 __. NOTARY PUBLIC

Until December 20 ____

AFFIDAVIT OF ATTESTATION


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PCAB


FORM Page 4 of 24

CONTRACTOR’S GENERAL INFORMATION

Name of Firm: (as per SEC or DTI or CDA Registration)

Main Office Address: Tel./Fax No.:

If Provincial based, contact address in Manila, if any: Tel./Fax No.:

Website: E-mail Address:

Type of Firm (please check)

[ ] Sole Proprietorship [ ] Partnership [ ] Corporation [ ] CooperativeSEC / Business Name Registration No.

Registration Date Expiry Date

Firm’s SSS No Tax Identification No. PhilHealth No. PAG-IBIG No.

Category Applied for(encircle only one below)

Principal Classification Applied for(encircle only one below)

Other Classification/s Applied for(please encircle, if any)

AAA AA A

B C D Trade

General Building / General Engineering /

Trade / Specialty( please specify below ):

__________________________________

General Building / General Engineering /

Specialty( please specify ):

Owners / Stockholders / Officers (for corporation / partnership) PERCENTAGE

NAME POSITION NATIONALITY CAPITALSUBSCRIPTIONPAID-UPCAPITAL Shares Pesovalue

Directors / Officers (for corporation only) NAME POSITION NATIONALITY ADDRESS

Certified Correct by:

_______________________________Authorized Managing Officer

(Signature over printed name)


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PCAB


FORM Page 5 of 24

Republic of the Philippines )Province of ______________ )City/Municipality of ___________ ) S.S.

SURNAME FIRSTNAME MIDDLE NAMEI,

DD MM YYYY SURNAME FIRSTNAME MIDDLE NAMEBorn on Single / Marriedto

ST. # & NAME BARANGAY DISTRICT CITY/MUNICIPAL PROVINCE ZIPCODE and residing at: Having duly sworn in accordance with law depose and say:

1. That I am the Authorized Managing Officer of : ________________________________________________________________________________(Name of firm)

2. That I possess the following educational attainments (attach additional sheet if necessary)

NAME OF SCHOOL ADDRESS COURSE INCLUSIVE DATES

3. That I possess at least two (2) years experience in the construction industry as follows (Ref. Sec. 20 ofIRR of R.A. 4566) (attach additional sheet if necessary)

DESIGNATION /POSITION

COMPANY / NATUREOF BUSINESS ADDRESS JOB DESCRIPTION

DATES OFEMPLOYMENT

4. That I possess knowledge of the building, safety, health , & lien laws of the Republic of the Philippines& the rudimentary administrative principles of construction contracting from my work experiences in item 3above and from the following training/seminars (Ref. Sec. 20 of IRR of R.A. 4566):

5. That I am not involved in any construction malperformance suggestive of negligence, incompetence ormalpractice or any act of omission liable for disciplinary action by myself or in collaboration with any otherperson (Section 4.2 of IRR of R.A. 4566)

6. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude(Rule (Section 4.2 of IRR of R.A. 4566)

7. That I am fully aware that my failure to notify PCAB of my disassociation with my present employer shallcause my disqualification to be an Authorized Managing Officer, a Sustaining Technical Employee or alicense applicant with PCAB .

8. That I authorize the PCAB to verify and investigate any or all information in this instrument from whateversources PCAB may consider appropriate

That I certify under pain of perjury that all information on this affidavit are true and correct.

FURTHER AFFIANT SAYETH NAUGHT. _________________________________Affiant

SUBSCRIBED and sworn to before me this _____ day of _________________, 20___ affiant exhibited his/herCommunity Tax Certificate No. __________ issued at _____________________ on ________________.

Doc. No.Page No.Book No. NOTARY PUBLIC Series of 20__ Until December 20__

AMO AFFIDAVIT

Recent Photo

Passport Size


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PCAB


FORM Page 6 of 24

Republic of the Philippines )Province of _____________ )City/Municipality of ________) S.S

SURNAME FIRSTNAME MIDDLE NAMEI, ST. # & NAME BARANGAY DISTRICT CITY/MUNICIPAL PROVINCE ZIPCODE

and residing at:

do hereby certify, in my capacity as the duly elected and incumbent Corporate Secretary of ______________________________________________________________________________(Name of firm)

DD MM YYYY CITY / MUNICIPALITY OF MEETINGThat during its regular meeting held on Heldat

Wherein a quorum was present , the following resolution was unanimously approved, to wit:

AMO NOMINATION

"R E S O L V E as it is hereby resolved that

_______________________________________________________________________,(FIRSTNAME MIDDLENAME SURNAME)

a senior executive who has been granted the power to render general management andadministrative decision, be appointed as the firm's Authorized Managing Officer to act onall matters concerning the requirements of the PCAB and implementation of R.A. 4566 asamended by P.D. 1746."

In WITNESS WHEREOF, I have hereunto affixed my hand this ___________ day of ______ 200___, in

______________________________, Philippines.

_________________________________Corporate Secretary

(Signature Over Printed Name)

SUBSCRIBED and sworn to before me this ________ day of _______ 20___ affiant exhibited to me his/her

Community Tax Certificate. No. ____________ issued on _____________ at ________________________.

Doc. No.Page No.Book No.Series of 20 __. NOTARY PUBLIC

Until December 20 ____

SECRETARY’S CERTIFICATION (for corporation/cooperatives only)


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PCAB


FORM Page 7 of 24

THE MANAGER _________________________________ _________________________________ _________________________________

Subject: Bank Account # _______________________

Sir:

Please provide the Philippine Contractors Accreditation Board (PCAB) , agovernment agency under the Department of Trade and Industry, any information theyneed regarding the subject account with your bank.

I am applying for a contractor's license from PCAB and part of their evaluation processis the verification of bank deposits and other assets of an applicant.

This will serve as your authorization to release any information that may be requestedby PCAB regarding the above subject account.

Thank you.

Very truly yours,

Name of Firm: ____________________________ ____________________________

By:_________________________

Signature over Printed Nameof Authorized Managing Officeror Authorized Signatory with the Bank

Date:_______________________

AUTHORITY TO VERIFY BANK ACCOUNT

Type of Application: (Pls. check) New Upgrading Renewal Others, pls. specify _______________________


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PCAB


FORM Page 8 of 24

THE REVENUE DISTRICT OFFICER _________________________________ _________________________________ _________________________________

Subject: Income Tax Return and Audited Financial Statement as of ______

Sir:

Please provide the Philippine Contractors Accreditation Board (PCAB) , agovernment agency under the Department of Trade and Industry, any information theyneed regarding the subject ITR and AFS filed with your office.

I am applying for a contractor's license from PCAB and part of their evaluation processis the verification of ITR and AFS, of an applicant.

This will serve as a waiver on the confidentiality provision of Section 270 of the NationalInternal Revenue Code of 1997 (memorandum circular No.28, 2006 dated May 08,2006) and your authorization to release any information that may be requested byPCAB regarding the above subject document/s.

Thank you.

Very truly yours,

___________________________Signature over Printed Name

of Authorized Managing Officer

Date:_______________________

AUTHORITY TO VERIFY ITR / AFS FROM B.I.R.



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PCAB


FORM Page 9 of 24

AUTHORIZATION

The Philippine Contractors Accreditation Board (PCAB) is hereby authorized toverify and secure information and/or copies of documents submitted by or in the nameof the firm to any or all of the following agencies relative to its application filed with thePCAB:

1. Securities and Exchange Commission

2. Land Registration Authority

3. Land Transportation Office

4. Social Security System

5. Professional Regulation Commission

__________________________Signature over Printed Name


Date:______________________

AUTHORITY TO VERIFY FROM GOVERNMENT AGENCY/IES



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PCAB


FORM Page 10 of 24

REAL PROPERTIES OF THE FIRM AS OF THE BALANCE SHEET DATE

COMPLETEDESCRIPTION

(Type of land/building)

*TCT-CLT/CCT/TD

NUMBER

LOCATION(St. #, Barangay, Municipality/

City, Province)

ACQUISITIONCOST

ACQUISITIONDATE

Please reproduce if additional sheets are needed.

* TCT – Transfer Certificate of TitleCCT – Condominium Certificate of Title

TD – Tax DeclarationCLT – Certificate of Land Title

___________________________Signature over Printed Name


Date:_______________________

LIST OF CONSTRUCTOR’S REAL PROPERTIES



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PCAB


FORM Page 11 of 24

A. DELIVERY AND TRANSPORTATION EQUIPMENT OF THE FIRM AS OF BALANCE SHEETDATE

COMPLETE DESCRIPTION A C Q U I S I T I O N

Vehicle Brand / Type Plate No. YearModel OR No. / Date DateCost

(in Php)

BOOK

VALUE(in Php)

OVER ALL TOTAL VALUE Php Php Please reproduce if additional sheets are needed.

B. MACHINERIES/PLANTS AND OTHER CONSTRUCTION EQUIPMENT OF THE FIRM AS OFBALANCE SHEET DATE

A C Q U I S I T I O N COMPLETEDESCRIPTION SERIAL NO.

Date Cost

(in Php)

BOOKVALUE(in Php)

OVER ALL TOTAL VALUE Php Php

By:_________________________Signature over Printed Nameof Authorized Managing Officer

Date:________________

LIST OF CONSTRUCTOR’S PLANTS, VEHICLES ANDEQUIPMENT



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PCAB


FORM Page 12 of 24 LIST OF NOMINATED SUSTAINING TECHNICAL

EMPLOYEES

PRC REGISTRATION

Date ofNAME OF STE

Prof.LicenseNumber Registration Validity

DateEmployed

Positionin the

FirmPreviously Nominated 1.

2

3

4.

5.

6.

7.

89.

10.

11.

12.

13.

Newly Nominated 1.

2.

3.

4.

5.

6.

7.

8

9.

10.

By:_________________________Signature over Printed Name


Date:_______________________ Type of Application: (Pls. check)

New Upgrading Renewal Others, pls. specify _______________________


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PCAB


FORM Page 13 of 24

RECEIVABLESTo be accomplished if the applicant's receivable accounts (accounts/contracts & other receivable) exceed 50%of the total networth/equity as of the latest audited balance sheet submitted in support of its application.

NAME OF PROJECTS AMOUNTDUE FORCOLLECTION

AGE CLIENT NAME COMPLETE ADDRESS

Please use additional sheets if necessary

Certified Correct by: ______________________________________ _____________________________Printed Name and Signature of External Auditor Printed Name and Signature of AMO

INVENTORIES

To be accomplished if the applicant's inventory accounts exceed 20% of the total networth/equity as of the latestaudited balance sheet submitted in support of its application.

Types Amount Age/DateAcquired

Intended Use orPurpose for

Storing

PhysicalCondition Place of Storage

Certified Correct by: ______________________________________ _____________________________Printed Name and Signature of External Auditor Printed Name and Signature of AMO

SCHEDULES


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PCAB


FORM Page 14 of 24

Type of Application: (Pls. check) New Upgrading Renewal Others, ls. s ecif

epu c o t e pp nesProvince of _____________ )City/Municipality of ________) S.S

SURNAME FIRSTNAME MIDDLE NAMEI,

DD MM YYYY SURNAME FIRSTNAME MIDDLE NAMEBorn on Single / Marriedto

ST. # & NAME BARANGAY DISTRICT CITY/MUNICIPAL PROVINCE ZIPCODE and residing at:

having duly sworn to in accordance with law depose and say:1. That I am a duly licensed __________________________ and holder of PRC License No.. ___________

(PROFESSION)valid up to _______________.

COURSE / PROFESSIONThat I hold a Bachelor's Degree in

NAME OF SCHOOL INCLUSIVE DATES 2.

Given at: Given on:

That my Tax Identification Number is :3.And my Social Security System Number:

NAME OF FIRM That I am employed by: (name of firm)

POSITION IN THE FIRM CFY 4.

With position of as a STE for

5. That I am not presently employed by either a private company or any government office or government owned/controlledcorporation, nor a full time instructor, nor working abroad;

6. That I am not a holder of a valid contractor's license;7. That I am not involved in any construction malperformance suggestive of negligence, incompetence or malpract ice or any

act or omission liable for disciplinary action by myself or in collaboration with any other person;8. That I have not been convicted by a court of competent jurisdiction of any offense involving moral turpitude;9. That I am fully aware that my failure to notify the PCAB of my disassociation with my present employer shall cause my

disqualification to be a Sustaining Technical Employee or an Authorized Managing Officer or an applicant for a contractor’slicense with PCAB;

10. That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sources PCAB mayconsider appropriate;

11. That I am executing this affidavit to attest to the truth of the foregoing.FURTHER AFFIANT SAYETH NAUGHT.

_______________________________Affiant

SUBSCRIBED and sworn to before me this _____ day of ___________________, 20___ affiant exhibited his/her Community Tax Certificate No. _____________ issued at ___________________ on ______________.

Doc. No.Page No.Book No. Notary PublicSeries of 20 ___ Until December 20 ___

PASTE

PROF. I.D. CARD

VALID FOR

CURRENT YEAR

(Front)(photocopy)

PASTE

PROF. I.D. CARD

VALID FOR

CURRENT YEAR

(Back)(photocopy)

SUSTAINING TECHNICAL EMPLOYEE AFFIDAVITPlease accomplish this affidavit properly. Refer to the next page for STE qualificationrequirements. )

Passport sizePicture of STE


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PCAB


FORM Page 15 of 24

1. A technology professional, such as engineer or architect, duly licensed by the Professional RegulationCommission (PRC).

2. Holder of a valid PRC I.D.

3. With three (3) years minimum actual construction experience.

4. A full-time employee of the nominating contractor, not associated professionally or by employment with anyother party, particularly a party engaged in construction or construction-related activities.

5. Have none of the following disqualifications:

a) Involvement, in any capacity, in any construction malperformance of grave consequence, suggestive ofhis negligence, incompetence and/or malpractice;

b) Involvement, by himself or in collaboration with any other person or firm, in any act or omission liable fordisciplinary action of which he/she is or the other person or firm was found guilty by the PCAB Board ;

c) Conviction by a court of competent jurisdiction of any offense involving moral turpitude; and

d) If formerly a Sustaining Technical Employee or an Authorized Managing Officer of any construction firmbut disassociated there from, failure to notify the Board of his disassociation in accordance withparagraph 5 and 6 of the Affidavit of Undertaking.

This is to certify that I have verified with PRC the above stated professional eligibility/registration of theSustaining Technical Employee. Affiant herein and found the same to be true and correct.

__________________________________________

Signature over Printed Name of the AMO

Date: _______________________

QUALIFICATION REQUIREMENTS FOR STE



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PCAB


FORM Page 16 of 24

Republic of the Philippines )Province of _____________ )City/Municipality of ________) S.S

I, _________________________________, single/married, Filipino, of legal age, with postal address at ________________________________________________, having been duly sworn in accordance with lawdepose and say that the projects enumerated below constitute my full & complete construction experience.

PROJECTDURATION(mm/dd/yy)

NAME andCOMPLETE ADDRESS of EMPLOYER/

NAME & LOCATION of PROJECTSUNDERTAKEN

WorkClassification

(GE, GB,SP)

Nature/Scope of WorkAssignment(Proj. Engr.)

From To

That I authorize the PCAB to verify and investigate any or all information in this affidavit from whatever sourcesPCAB may consider appropriate;

That I am executing this affidavit to attest to the truth of the foregoing.

FURTHER AFFIANT SAYETH NAUGHT.

_________________________________Affiant

SUBSCRIBED and sworn to before me this _____ day of _________________, 20__ affiant exhibited his/herCommunity Tax Certificate No. ______________ issued at ____________________ on ____________________.

Doc. No ;Page No.;Book No.; Notary PublicSeries of 20 _______. Until December 20 ___

AFFIDAVIT OF STE CONSTRUCTION WORK EXPERIENCEPlease use additional sheets if necessary


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PCAB


FORM Page 17 of 24

(TO BE ACCOMPLISHED BY THE STE)

NAME OF STE: __________________________________________________________LAST NAME FIRST NAME MIDDLE NAME

Profession: ________________ PRC ID No: ____________ Expiration Date: __________

Present Employer: ________________________________________________________

I hereby confirm the following:

1. The veracity of the information reflected on the STE Affidavit and Affidavit of ConstructionExperience that I executed in favor of the above present employer;

2. That I am fully aware that my failure to notify the PCAB of my disassociation from theabove-stated nominating firm and any misrepresentation in the attached forms shall cause

my disqualification as sustaining technical employee, or authorized managing officer, or alicensee applicant with PCAB per Board Resolution No. 401, Series of 2001.

3. That I have been previously connected with the following companies and disassociatedtherefore :

Previous EmployersDate of

EmploymentDate of

Resignation Position

4. Other Remarks: _________________________________________________________________________________________

_________________________________________________________________________________________

Valid I.D.(s) Presented:

1. ________________ No: ______________ ________________________STE’s Signature

2. ________________ No: ______________ ________________________

Date Signed

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

To be filled up by PCAB/DTI Personnel

____________________________ STE’s Specimen Signature (during interview):Signature over Printed NamePCAB / DTI Office:_______________ ____________________________Date :__________________________

STE PERSONAL APPEARANCE


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PCAB


FORM Page 18 of 24

I, _________________________________ of legal age, Filipino, single/married, and residing at ___________________________________________, after having been sworn to in accordance withlaw, depose and say that:

1. I am the Proprietor / AMO of ____________________________________________________

2. I am aware of the provisions of Section 35 of R.A 4566 (the Contractor’s License Law) thatrequires a contractor to secure a license before engaging in the business of constructioncontracting in the Philippines;

3. I have not undertaken any construction activity that requires a contractor’s license prior to thefiling of this application;

4. I will not engage or have not engaged in any construction activity that requires a contractor’s

license during the pendency of this application;

5. I am executing this affidavit to support my application for license and to attest to the truth of theforegoing.

____________________________Affiant

Subscribed and sworn to before me this ____ day of ____________ 20____, affiant exhibiting tome his / her Community Tax Certificate No. _________________________ Issued at

__________________________ on_______________________________

_____________________________Notary Public

Doc. No.Page No.Book No.Series of 20___

Important: 1. Submit this affidavit only if you have not undertaken any construction activity.2. If construction has been undertaken prior to application or during the pendency of

the application, inform the Public Assistance Desk for assessment of AdditionalLicense Fee.

3. Misrepresentation in the application for a license may result in the disapprovalthereof without prejudice to administrative, civil, and criminal prosecution.

AFFIDAVIT OF NO CONSTRUCTION ACTIVITY FOR NEW LICENSE APPLICANTS


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20/24

PCAB


FORM Page 20 of 24

GUIDELINES FOR CLASSIFICATION AND CATEGORIZATION OF CONTRACTORS

1. Classification means the area of operation that a contractor can engage is based on the technical experience of hissustaining technical employee (STE). A contractor may apply for and be issued more than one classification, one ofwhich shall be designated as his principal classification.

2. Category indicates the graded level of aggregate capability of a contractor with respect to his principal classification andis based on predetermined qualification criteria which include financial capacity, experience of STE, track record andequipment. Evaluation of category shall be based on the following criteria quantified by credit points in scales asdetermined by the Board.

2.1 Financial capacityFinancial capacity shall be in term of Networth based on the latest audited financial statements submitted to theBureau of Internal Revenue (BIR), or paid-up capital based on the latest audited financial statements submittedto the Securities and Exchange Commission (SEC), if a newly-organized partnership or corporation. PCAB hasthe right to reject or reduce portion thereof if, upon verification, the reported assets of the contractor were foundto be erroneous or not adequately supported with appropriate documents. Corresponding credit points is 1 forevery P100,000.00 of the value of Networth/Stockholder’s Equity.

2.2 Equipment CapacityEquipment capacity shall be in term of book value as reflected in the constructor’s latest audited financialstatement submitted to the BIR or the SEC, whichever is applicable, or equipment owned which are inoperational condition and applicable to construction of the classification in which the constructor is to be

categorized. Said owned equipment shall include units under installment and/or under lease purchase.Corresponding credit points is 1 for every P100,000.00 of the NBV of the contractor owned equipment.

2.3 Experience of firmExperience of firm shall be in terms of:

2.3.1 Aggregate number of years in which the constructor firm, under the same business identify, has beenactively engaged in construction contracting operation. Corresponding credit points is 10 for every yearof actual construction operation as a licensed contractor; and

2.3.2 Average annual value of work completed by the firm during the past three (3) years or, if constructor’slicense is less than three (3) years, since being licensed, based on the audited financial statementssubmitted to the BIR. Corresponding credit points is one (1) for every P100,000.00 of the annual valueof work accomplishment.

2.4 Experience of technical personnel

Experience of technical personnel shall be the sum total of individual experience of each STE nominatedto the classification and shall be subject to the qualification requirement of each category as indicated inthe PCAB Classification and Categorization Table. Said individual experience of the STE shall be asdefined and qualified below:

2.4.1 The experience shall be in term of aggregate number of years in which the STE, in his presentemployment as well as previous, has been involved in construction is to be categorized.

2.4.2 It shall include only the years in which he was performing in managerial/supervisory capacitybearing on construction operation and/or contract implementation.

2.4.3 It shall be subject to a creditable ceiling of thirty (30) years, over which no excess shall berecognized.

Corresponding credit point is five (5) for every year of experience in construction.

The category of a contractor shall be determined on the basis of the number of points credited on theaggregate/combined experience of all its qualified STE. Only STEs who meet the minimum individualexperience required shall be considered in determining aggregate experience and credit points. Thus, inorder to qualify to the technical capacity requirement for category “AAA”, the contractor must havequalified STEs whose individual experience is not less than ten (10) years with a creditable ceiling ofthirty (30) years and have an aggregate/combined experience of at least sixty (60) years.

3. In determining a contractor’s category, his qualificat ion must satisfy all the minimum requirements, corresponding to theclassification and category applied for, qualified and rated according to equivalent credit points and shall be the lowestsustainable by all three determinants as follows:

3.1 Financial Capacity3.2 Experience of STE3.3 Over all credit points based on the four qualification criteria referred to in item 2 of these guidelines.


21/24

PCAB


FORM Page 21 of 24

MINIMUM QUALIFICATION REQUIREMENTS

(1)FINANCIAL CAPACITY

(2)STE MIN. CONST.

EXP. REQUIREMENTCLASSIFICATION

CATEGOR

Y

STOCKHOLDER'S

EQUITY

CREDITPOINTS

(C.P.)REQ'D.

INDIVI-

DUAL

AGGRE-

GATE

MIN.C.P.

REQ'D.

(3)

OVERALLCREDITPOINTS

REQUIRED

I. GENERAL ENGINEERING

GE-1 Road, Highways, Pavement,Railways, Airport horizontalStructure, and Bridges

GE-2 Irrigation or Flood Control

GE-3 Dam, Reservoir or Tunneling

GE-4 Water Supply

GE-5 Port, Harbor or OffshoreEngineering

AAA

AA

A

B

C

D

P90,000,000.00

45,000,000.00

9,000,000.00

4.500,000.00

3,000,000.00

900,000.00

900.00

450.00

90.00

45.00

30.00

9.00

10

10

7

5

3

3

60

50

21

10

3

3

300

250

105

50

15

15

1,950.00

915.15

265.00

122.50

75.50

24.00

II. GENERAL BUILDING

GB-1 Building or Industrial Plant

GB-2 Sewerage or Sewage System

GB-3 Water Treatment Plant & System

GB-4 Park, Playground orRecreational Work

AAA

AA

A

B

C

D

P90,000,000.00

45,000,000.00

9,000,000.00

4,500,000.00

3,000,000.00

900,000.00

900.00

450.00

90.00

45.00

30.00

9.00

10

10

7

5

3

3

60

50

21

10

3

3

300

250

105

50

15

15

1,910.00

895.00

261.00

120.50

66.50

24.00

III. SPECIALTY

SP-FW Foundation Work

SP-SS Structural Steel Work

SP-CC Concrete Pre-casting,

Pre-Stressing or Post-tensioning

SP-PS Plumbing & Sanitary Work

SP-EE Electrical Work

SP-ME Mechanical Work

SP-AC Air-conditioning or RefrigerationSP-ES Elevator or Escalator

SP-FP Fire Protection Work

SP-WP Waterproofing Work

SP-PN Painting Work

SP-WD Well-Drilling Work

SP-CF Communication Facilities

SP-MS Metal Roofing & SidingInstallation

SP-SD Structural Demolition

SP-LS Landscaping

SP-EM Electro Mechanical Work

SP-NF Navigational Facilities

AAA

AA

A

B

C

D

P90,000,000.00

45,000,000.00

9,000,000.00

4,500,000.00

3,000,000.00

900,000.00

900.00

450.00

90.00

45.00

30.00

9.00

10

10

7

5

3

3

60

50

21

10

3

3

300

250

105

50

15

15

1,510.00

695.00

211.00

110.50

60.50

24.00

IV. SP-TRADE TRADE 45,000.00 0.40 none none none 0.45

* Minimum Qualification Requirements for Principal Classification** For Other Classification/s, Minimum of 3 Years Actual Construction Experience

*** Overall credit points inclusive of Equipment Capacity (1 point/P100Th); Experience of Firm (10 points/year of active existence; &1 point/P100Th of 3 year Average Annual Volume of Work Accomplished; and COMTCP points if STEs are COMTCP certified

CATEGORIZATION – CLASSIFICATION TABLE


22/24

PCAB


FORM Page 22 of 24

FOR GOVERNMENT REGISTRATIONADJUSTMENT TO TRACK RECORD &

ALLOWABLE RANGES OF CONTRACT COST (ARCC) CFYs 2004-2007 (1 st Stage) 2 nd Stage 01 July 2009Size Range LicenseCategorySLP ARCC SLP ARCC

Large B AAA Above P75M < or above P150 M Above P150M < or above P300 M

Large A AA Above P50MUp to P75M Up to P150MAbove P100MUp to P150M

Up to P300M

Medium B A Above P25MUp to P50M Up to P100MAbove P50MUp to P100M Up to P200M

Medium A B Above P5MUp to P25M Up to P50MAbove P10MUp to P50M Up to P100M

Small B C & D < P5.0M Up to P10M < P10M Up to P15M

Small A Trade < P500T Up to P500T < P500T Up to P500T* Par. 3 of Sec. 23.11.2 of the IRR of RA 9184 allows Small A and Small B contractors

without similar experience to bid only for contracts not more than fifty percent (50%)of the allowable range of contract cost of their respective size ranges.

CATEGORIZATION – CLASSIFICATION TABLE


23/24

PCAB


FORM Page 23 of 24

TYPE OF FEES AAA(Pesos)

AA(Pesos)

A(Pesos)

B(Pesos)

C(Pesos)

D(Pesos)

TRADE(Pesos)

New Application Filing Fee 600 600 600 600 600 600 600

Classification Fee

Principal Classn. 2,400 1,200 240 120 72 24 exempt

Others (Chargeable foreach classn.)

1,200 600 120 60 36 12 exempt

Categorization Fee 21,600 10,800 3,600 2,400 1,200 600 exempt

License Fee 50 50 50 50 50 50 50

RenewalApplication

Filing Fee 600 600 600 600 600 600 600

Category Review 14,400 7,200 2,400 1,800 960 480 exempt

License Renewal Fee 50 50 50 50 50 50 50

Surcharge for late Renewal 20 20 20 20 20 20 20

SpecialLicense

New Application

Filling Fee 600 600 600 600 600 600 600

License Fee(per project basis)

50 50 50 50 50 50 50

Categorization Fee(per CFY basis)

21,600 10,800 3,600 2,400 1,200 600 exempt

Renewal Application

Filling Fee 600 600 600 600 600 600 600

License Fee 50 50 50 50 50 50 50

Categorization Fee 14,400 7,200 2,400 1,800 960 480 exempt

Additional Classification

Principal Classification LicenseRevision/Re-issue

1,20050

60050

12050

6050

3650

1250

N. A.N. A.

Upgrading of Category

Categorization FeeLicense Revision/Re-issue

21,60050

10,80050

3,60050

2,40050

1,20050

60050

N. A.N. A

Other Types of Petitions

Change of AMO;Change of Business Name /Status & License

ReplacementLicense revision (for each type of petition)

50 50 50 50 50 50 50

LICENSING FEE STRUCTURE


24/24

PCAB


FORM Page 24 of 24

SIZE RANGE

TYPE OF FEESLarge A & B

(Pesos) Medium A & B

(Pesos) Small A& B

(Pesos) 1. New Registration

a. Filing Fee 60 60 60b. Project Kind (PK) Fee

First Project Kind 3,600 2,400 1,200Succeeding PK (if any) 600 600 600

2. Re-Registration

a. Filing Fee 60 60 60b. Project Kind (PK) Fee

First Project Kind 3,600 2,400 1,200Succeeding PK (if any) 600 600 600

3. Upgrading of Size Range

a. Filing Fee 60 60 60b. Size Range (SR) Fee

Small A to Small B 60Small A/B to Medium A/B 1,200Small A/B to Large A/B 2,400Medium A to Medium B 60Medium A/B to Large A/B 1,200Large A to Large B 60

4. Additional Project Kind

a. Filing Fee 60 60 60b. Project Kind Fee (if any) 600 600 600

Revised Miscellaneous Fees PHILIPPINE OVERSEAS CONSTRUCTION BOARDRevised Schedule of Fees, effective CFY 2001-2002

Listing (per page)Certification (per page)Replacement of License

P 12P 24P 60

Registration (new)

Renewal of registration

P 20,000

P 10,000

REGISTRATION FEES

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